Provider Demographics
NPI:1649098450
Name:COLLINS, CHRISTOPHER DREW (LCSW MCAP CSAT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DREW
Last Name:COLLINS
Suffix:
Gender:M
Credentials:LCSW MCAP CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 W PALMETTO PARK RD STE 410
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3325
Mailing Address - Country:US
Mailing Address - Phone:561-735-1023
Mailing Address - Fax:
Practice Address - Street 1:2263 NW BOCA RATON BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7401
Practice Address - Country:US
Practice Address - Phone:610-517-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP.0101104101YA0400X
FL237711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty